Provider Demographics
NPI:1194215251
Name:SUNSET HEALTHCARE INC
Entity Type:Organization
Organization Name:SUNSET HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-480-4313
Mailing Address - Street 1:8285 W SUNSET BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2420
Mailing Address - Country:US
Mailing Address - Phone:323-480-4313
Mailing Address - Fax:
Practice Address - Street 1:8285 W SUNSET BLVD STE 5
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-2420
Practice Address - Country:US
Practice Address - Phone:323-480-4313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1Medicaid